Monday, December 28, 2009

Aftermath I

L is lovely.

I hate breastfeeding. Really, really hate it. I don't produce enough to keep L satisfied. I don't produce enough to pump. And L tends to fall asleep, so every second that he is feeding I am actively struggling to keep him awake.

His doctor says I need to start pumping now to get him used to bottles. The LC says I need to wait, since he is having issues with feeding. Last night I had a breakdown at midnight. J took L from me, told me to go to sleep, went downstairs and fixed a bottle of formula, which he fed to L. Two hours later I was up and feeding him again.

My mom says to follow my instinct (that he is not getting enough from me) and supplement.

I hate this. I'm going crazy inside my house. I can't go out, because I can't feed him him without exposing myself. I'm home alone for part of the day until next week, when J goes back to work full time.

Part of me wants to give up now. But I think about the financial waste – the pump, the breast shields, the storage bags, the cost of formula and I cringe to think about how much money we would be throwing away.

Wednesday, December 16, 2009

The Good, the Bad, the Ugly

Summary: J and I are now proud (and sleep deprived) parents. Our child, L, was born on Saturday afternoon, at 3:58pm.

The Bad: Labor. The whole thing. From the membranes breaking on Friday at 11:30 in the morning while I was at work, to the drive to the birth center, to the back-and-forth from birth center, to hospital, to birth center and finally back to the hospital over the course of 28 hours.

Highlights included witnessing the driver of an 18 wheeler do a u-turn in the middle of Stanwix street,  denting the guardrail and nearly taking out a convention center support beam and several cars, vehicles driving the wrong way up Penn Avenue and two trips to the hospital, the first to assess why my blood pressure had become so unstable and to do an ultrasound, the second as a formal transfer, as my contractions never developed any rhythm due to L flipping to a posterior position (aka “back labor”) and I was dilating too slowly to remain safely at the center.

The Good: The hospital staff, from the anesthesiologist who applied the epidural and took the time to explain not only what he was doing, but how and why, the midwife and hospital nursing staff who worked together to prevent a knife-happy OB/GYN from forcing me to have a cesarean section and J, who hid his fear and anxiety until after L was born.

Surgeons were consulted on L's positioning. Nurses not assigned to the labor stopped by to offer suggestions and moral support. The neo-natal unit was called down to take L at birth to ensure that he was healthy. I can confidently say that I would not have made it without their support and care.

The Ugly: J's parents showing up while I was in labor and in no shape to see anyone, in total and complete disregard of my previously and repeatedly expressed wishes that they stay home until otherwise instructed. J's parents do not handle hospitals well. They came into the room to make themselves feel better and I found myself wasting time and energy trying to reassure his mother that I was OK. I finally quietly and politely asked them to leave the room.

My parents also showed up in defiance of my previously expressed wishes. I took their arrival slightly better, if only because both of my parents are nurses and they know how to behave in such situations. They stayed only five minutes and I did not have to ask them to leave.

That it took two people, a surgeon and the midwife over thirty minutes to stitch me back up.

That J's sister showed up with her husband and children (against the express wishes of the hospital that children under the age of 12 remain at home) in the maternity ward at 8:00pm (visiting hours end at 8:30pm), after being told by J's parents that both of us were exhausted and NOT to visit us on Saturday. Her explanation? That they were “too busy” to come visit on Sunday, Saturday was more convenient for them. J refused to allow them into the room and the family went home angry because they were not permitted to see me or hold L, and complained to J's parents about how unwelcome they felt.

For the record, this is the same sister who was offended when I stopped her from touching my stomach.

Monday, December 07, 2009

Filed Under...

...things you should not say to a woman entering week 37 of pregnancy:

“Oh, you are too high! You are not going to drop for weeks. Its gonna be a while yet before you have that baby”.

Then giggle and start talking about how you did 10 jumping jacks on a hot summer day to make your water break, which it did the next morning, and how horrified you were because 10 jumping jacks may have ruptured the placenta.

Continue in this vein for several more minutes, bragging about how early all your children were and offering unsolicited advice while ignoring the frosty silence and stiff smile of the luckless pregnant woman forced to listen to such twaddle.

Compound that with having to listen to conversation about "how wonderful" it would be to have an infant at Wigilia this year, as if my sore, sleep deprived, learning-how-to-breastfeed ass will want to do nothing more than feed the infant, pack myself into a car, drive an hour and subject myself to 30+ people in a small room.

Thursday, December 03, 2009

Programming Note

To hapless spouses of first time pregnant women everywhere:

It does not behoove you to complain about giving up four Saturdays over a forty week period to attend some childbirthing and don't kill the baby classes. Especially when pregnant spouse has actively encouraged you to go out with mutual friends, continue playing the sports that you love, pushed you to get exercise and spend time with your parents and siblings and essentially done everything within her limited power to make sure that you continue to maintain some sense of normality during a highly abnormal period of time.  You sacrificed four Saturdays. Your spouse, on the other hand, has sacrified her physical being and emotional sanity. She wins. Stop being a jerk.

Wednesday, December 02, 2009

Too Many Days

Less than four weeks. I'm uncomfortable, cranky and offering myself up as a willing guinea pig for any person willing to cast any sort of voodoo spell that will shorten the end of the alien's gestation.

I'm not willing to put up with too anything from anyone. After almost 36 weeks of restraint, my mother decided to pull out the clichés during a post-Thanksgiving dinner conversation and was promptly smacked down. In the defensive, injured air put on by any individual who knows better, but goes ahead and does it anyway, she protested that she had exercised restraint over the past 35 plus weeks. I pointed out to her that if she had been successfully able to hold her tongue for over 35 weeks, four more should have been easy.

Last week, for the first time in my life, I yelled at a healthcare provider. Concerned that I might be leaking amniotic fluid, I called the midwives, who squeezed me in for an appointment for an internal exam and to take a specimen. The nurse who examined me neglected to mention that because of the potential risk of infection, she would be unable to use any lubrication or that I might be “extra sensitive” until after I started yelling at her while on the table.

She was apologetic about the incident. Which soothed my feelings, but not my poor parts, which ached for the rest of the week. The leakage turned out to be a false alarm,

I feel subtle changes. I'm getting sweaty. The migraines, which never went away completely, have increased to their pre-pregnancy level of intensity and duration. Tylenol is completely ineffective as is the only other cure available to me right now – a solid night of sleep. And the nausea of the first 20 weeks has returned, in a slightly more manageable form.

The first of now weekly checkups came with a list of instructions. When to call the midwives – if I have another full blown migraine(1) or my water breaks. What to do if I start early labor near bedtime – call the midwife and take a Benadryl(2) to get some sleep.

My crankiness has increased since I started this post, three days ago. I feel incredibly isolated, angry and lonely right now and acting in ways that are highly counterproductive, such as isolating myself even further so I don't act out against the undeserving, including J. Who feels the tension and anger anyway and has responded by inviting a bunch of our friends over to our home on Saturday to watch the Penguins/Blackhawks game. It is the correct thing to do – I'm too uncomfortable to go out for extended periods of time at this point and I need to socialize with other people.

Too many days left.

(1) It is interesting to observe what healthcare professionals will freak out about. I've had several migraines over the course of this pregnancy, just of a lower level of pain and shorter duration, mild enough that it never occurred to me to mention them. Especially since not every woman experiences a cessation in migraine activity during pregnancy. I mentioned the headache because I was curious if it acted as a precursor to labor, a sign that my hormone levels were returning to a non-pregnant state. From the midwife's point of view, it was an indicator of something more serious.

(2) I had no idea how many off label uses there were for Benadryl until I got sick in the past month.